REUNION REGISTRATION FORM

 

                Portland, Oregon NPCA Reunion Registration

 Name:  
Postal Rate/Position:  
Dates of Service:  
Guest Names:  
E_mail  
Tel:  
 

                                                       INSTRUCTIONS

Registration cost is $75.00 for each attendee member or guest.  Registration includes hospitality suite for four days and banquet.  There is also an $70.00 cost for the lunch cruise aboard the Portland Spirit.  Send completed registration form, registration fees, amount for the tour and association dues, if applicable, to the association Treasurer, Terry Baardsgaard.   Mailing address:

NPCA Treasurer

Terry Baardsgaard

133 Birch Ln

Littleton, NC 27850-7807

 

 

ATTENDEES   (Includes guest)           ______     X      $ 75.00 = ________________

 

Portland Spirit Cruise (Optional)        ______     X      $ 70.00 =  ________________

 

Bi-Annual Dues (Optional)                                            $ 20  =  ________________

              or

Lifetime Membership                                                     $ 50  =   ________________­

 

TOTAL:                                                                                       ________________

 

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